Mark Wagner, MD
Mark Wagner, MD is a General Practice Physician in Santa Ana, CA, registered under NPI 1700821709. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 515 CABRILLO PARK DR SUITE 120, Santa Ana, CA 92701. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| G42267 | CA | General Practice Physician primary |
| G42267 | CA | Pain Medicine Physician |
| G42267 | CA | Addiction Medicine (Psychiatry &… |
This provider holds licence G42267 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What General Practice covers
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. NUCC Health Care Provider Taxonomy, code 208D00000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208D00000X | General Practice Physician | G42267 | CA | primary |
| 208VP0000X | Pain Medicine Physician Pain Medicine | G42267 | CA | |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician Addiction Medicine | G42267 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1700821709 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 17, 2006 |
| Last updated | Sep 1, 2015 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | MD |
| Practice address |
515 CABRILLO PARK DR SUITE 120 Santa Ana, CA 92701 (714) 558-8038 Fax (714) 558-6033 |
| Mailing address |
PO BOX 94026 Pasadena, CA 91109 |
| Other identifiers |
00G422670
· Medicaid (CA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 0 | 0 | 8 | 2 | 1 | 7 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 0 | 0 | 7 | 2 | 2 | 7 | 0 |
Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.